Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith Blauvelt

Individual provider Physical Therapy Assistant · NPI 1255818035

Keith Blauvelt is a Physical Therapy Assistant in Jackson, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2018
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Practice location Address checks out

2 Kathleen Dr
Jackson, NJ 08527-2269
Phone: (732) 474-6055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00295700 (NJ)

Record details

NPI number1255818035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2018
Last updated in NPPESJuly 24, 2018

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